Strengthening health systems for effective tuberculosis prevention and care

BACKGROUND TB-Regional Eastern European and Central Asian Project on Strengthening Health Systems for Effective Tuberculosis (TB) and drug resistant TB prevention and care (TB-REP) is a three-year project starting 2016, funded by the Global Fund to Fight AIDS, Tuberculosis and Malaria, implemented by the Center for Health Policies and Studies (PAS Center), as the principal recipient, and the WHO Regional Office for Europe, as the technical lead agency, in collaboration

Strengthening health systems for effective tuberculosis prevention and care

with partners.

The project focuses on accelerating TB prevention and care by removing health system barriers and scaling up health system reforms through catalyzing and supporting interventions in 11 eastern European and central Asian countries.

TB-REP: a regional project spanning eleven Eastern European and Central Asian countries

TB-REP partners Alliance for Public Health www.aph.org.ua The Center for Health Policies and Studies (PAS Center) www.pas.md

BELARUS

The Global Fund to fight Aids, Tuberculosis and Malaria (GF) www.theglobalfund.org The European Respiratory Society (ERS) www.ersnet.org The London School of Economics and Political Science (LSE) www.lse.ac.uk

UKRAINE KAZAKHSTAN

MOLDOVA

ARMENIA

The London School of Hygiene and Tropical Medicine (LSHTM) www.lshtm.ac.uk The Stop TB Partnership (STB) www.stoptb.org TB Europe Coalition (TBEC) www.tbcoalition.eu WHO Regional Office for Europe www.euro.who.int

WHO Regional Office for Europe UN City, Marmorvej 51, DK-2100 Copenhagen Ø, Denmark, Email: eurotbrep@who.int

www.euro.who.int/en/health-topics/Health-systems www.euro.who.int/tuberculosis

UZBEKISTAN

GEORGIA

KYRGYZSTAN

AZERBAIJAN TURKMENISTAN

TAJIKISTAN

GOAL

INTERVENTIONS

To improve TB and drug resistant TB outcomes in TB-REP countries through health systems strengthening, leading to people-centred prevention, treatment and care.

Document countries’ experience and partners’ lessons learnt

Develop a blueprint for a TB model of care 1

OBJECTIVES $ To increase political commitment to end TB, through regional cooperation and evidence sharing, for effective and sustainable transformation of health systems

Conduct high level and bottom-up regional and national advocacy

To support countries to implement effective and efficient TB service delivery systems shifting towards outpatient models of care with sustainable financing and well-aligned payment mechanisms Support implementation of a people-centred TB model of care through country roadmaps

EXPECTED RESULTS

Countries adopt key policies on people-centred TB service delivery, TB care financing and TB human resources

Rational use of hospital care based on clearly defined and adopted admission and discharge criteria

Countries have roadmaps to incorporate peoplecentred policies for sustainable and effective TB prevention and care

Carry out capacity building and regional dialogue for learning events

1

Blueprint is a document which sets forth the guiding principles of designing and implementing people-centred care for TB.